| NPI | 1336543446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-57568) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10170) |
| 106S00000X Behavior Technician (Licence: FL RBT-16-12720) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2023-05-11 |